Members from Pitt County Memorial Hospital (PCMH) in Greenville and Albemarle Hospital (AH) in Elizabeth City met in February 1996 to discuss a joint primary care health facility in Nags Head.

Senator Marc Basnight used his political clout to ensure the hospital would receive approval.

AH dropped its support and decided to join up with Sentara Health System (SHS) of Norfolk, Virginia.

The municipal boards of Kitty Hawk and Southern Shores endorsed the HealthCarolina proposal.

[2] On November 28, 1998, the North Carolina Division of Facility Services awarded the CON to the PCMH/CRMC partnership.